Texas Health Steps

Practicing good oral health habits at home is part of good pregnancy care.

woman brushing teeth

Pregnancy may result in dental caries due to the increased acidity in the mouth, greater intake of sugary snacks and drinks secondary to pregnancy cravings, and decreased attention to prenatal oral health maintenance.

American College of Obstetricians and Gynecologists (2013, reaffirmed 2017)

Health workers should remind pregnant women about the fundamentals of oral care:

  • Eat healthy foods and avoid sugary food and drinks.
  • Limit between-meal snacks and stick to non-sugary snacks as often as possible.
  • Avoid tobacco use.
  • Brush with fluoridated toothpaste twice daily and after sugary snacks.
  • Replace used toothbrushes every three months or when bristles are frayed.
  • Floss daily.

Seeing a dentist is safe, important and recommended during pregnancy.

Women should have routine dental checkups during pregnancy. Delaying dental care can create health risks for mother and baby. Advise pregnant women to schedule a routine dental exam early in pregnancy and to tell their dentist that they are pregnant. Some dentists may require a clearance/referral from a pregnant woman’s primary care provider, so encourage her to ask for a clearance as soon as possible to avoid delays in seeing a dentist.

Most dental procedures are safe during pregnancy, including properly shielded x-rays, root canals and restorations (fillings or crowns) or tooth extractions. Local anesthesia and some medications can also be used.

woman at dental exam

Some pregnant women have difficulty finding dental care.

A recent survey found that more than two-thirds of Texas women with newborns did not have their teeth cleaned during pregnancy.

Barriers to dental care

Financial
  • Cannot afford dental care
  • Does not have insurance coverage
  • Is not aware of Medicaid eligibility
Access
  • Lack of transportation
  • Lack of convenient services
  • Cannot find a dentist who will see pregnant women
Culture
  • Language barriers
  • Family and cultural traditions about dental care
Beliefs
  • Fear of dentists or dental procedures
  • Misconceptions about the importance and safety of dental care during pregnancy
  • Belief that oral health problems are normal during pregnancy
  • Cultural beliefs about dental care

Adapted from 2017 Texas Pregnancy Risk Assessment Monitoring System (PRAMS) Survey

Health workers who are aware of barriers like these are better equipped to help pregnant women understand the importance of practicing good oral health habits and getting dental care. Section 3 includes resources to help pregnant women find affordable services in their area.